Bettendorf Ia SNF Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BETTENDORF IA SNF OPCO LLC

Practice address

2500 Grant St
Bettendorf, IA 52722-5092

Phone

(563) 359-9171

NPI assigned

Aug 31, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Sheldon Goldberger

Title

Member

Phone

(347) 361-0064

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Skilled nursing facility certification: CCN 165553

Legal name

BETTENDORF IA SNF OPCO LLC

Doing business as

THE VISTAS AT BETTENDORF

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 1, 2004

Last certification

Aug 29, 2024

Beds

79

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Jul 24, 2023 in DE

Enrollment address

2500 Grant St
Bettendorf, IA 52722-5092

Nursing home name

THE VISTAS AT BETTENDORF

Affiliated entity

SHLOMO HOFFMAN

Listed as

The Vistas at BettendorfCCN 165553

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

4 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Oct 1, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

7970.9 residents per day on average

Chain

Shlomo Hoffman10 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Thomas Robert Staley, MD

  • Family Medicine Physician
  • Davenport, IA
  • NPI 1174750855

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Clinton Opco LLC

  • Skilled Nursing Facility
  • Clinton, IA
  • NPI 1821775164

  Stellar Healthcare MGMT LLC

  CMS ownership
• Dubuque Opco LLC

  • Skilled Nursing Facility
  • Dubuque, IA
  • NPI 1033817903

  Stellar Healthcare MGMT LLC

  CMS ownership
• Hillcrest Opco LLC

  • Skilled Nursing Facility
  • Dubuque, IA
  • NPI 1578386181

  Stellar Healthcare MGMT LLC

  CMS ownership
• Jackson Ia Opco LLC

  • Skilled Nursing Facility
  • Maquoketa, IA
  • NPI 1326742610

  Stellar Healthcare MGMT LLC

  CMS ownership
• Maquoketa Opco LLC

  • Skilled Nursing Facility
  • Maquoketa, IA
  • NPI 1932807229

  Stellar Healthcare MGMT LLC

  CMS ownership

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Thomas Robert Staley, MD

  • Family Medicine Physician
  • Davenport, IA
  • NPI 1174750855

  Nursing home

  Care Compare affiliation
• John Vu, DO

  • Internal Medicine Physician
  • Temple, TX
  • NPI 1497250336

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1144006644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 GRANT ST",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527225092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 GRANT ST",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527225092",
            "telephone_number": "563-359-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETTENDORF IA SNF OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "GOLDBERGER",
        "authorized_official_first_name": "SHELDON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "347-361-0064",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Jerome Bergthold, DC
• Bettendorf Community School District
• Bettendorf Counseling Center PLLC
• Bettendorf Dental PC
• Bettendorf Healthcare Management LLC
• Bettendorf Nursing and Rehabilitation LLC
• Bettendorf Nursing Home Company
• Bettendorf Pediatric Group
• BHK, Inc
• Randall Dale Bickford, R.PH.

• Skilled Nursing Facility in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Skilled Nursing Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.